Shall include the qualifications listed in C.12 depending upon the post.

Application For Employment

Step 1 of 9

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PREEMINENT PROTECTIVE SERVICES, INC

Please fill out the application completely even if you attach a resume. Qualified
applicants will receive equal consideration. No question is asked for the purpose of excluding any
applicant on the basis of race, color, national origin, religion, age, sex, disability, or any other factor
prohibited by law or regulation. Preeminent Protective Services, Inc is an equal opportunity employer.

Personal Information

Today's Date*

Name*

FirstLast

Are you 21 years or older?*

Yes

No

Present Address*

Street AddressAddress Line 2CityStateZIP Code

Phone (home)*

Phone (cell)*

Email*

Position Applying For*

Date You Can Start*

Salary Desired*

Are You Currently Employed?*

Yes

No

If Yes, may we contact your current employer?*

Yes

No

Not Applicable

If requested, would you be willing to take a physical/drug screening exam as a condition of employment?*

Yes

No

Availability For Work

Shift Desired*

Will you work overtime during the week if necessary?*

Yes

No

Will you work weekends if necessary?*

Yes

No

Do you have reliable transportation to and from work?*

Yes

No

Have you ever been convicted or arrested for any law violation, except a minor traffic violation? (A Criminal record does not automatically bar Employment). If yes, Please explain.*

Security License

Do you have a current security license?*

Yes

No

What kind of license Held?*

What State is license Held?*

DC

VA

MD

What is the expiration date of license(s)?*

Security Clearance*

Secret

Top Secret

None

If Other, Please Explain

Do you have a second security license?*

Yes

No

What kind of license Held?*

What State is license Held?*

DC

VA

MD

Not Applicable

What is the expiration date of license(s)?*

Security Clearance*

Secret

Top Secret

None

If Other, Please Explain

Military Record

Branch of service*

Date Entered*

Date Discharged*

Type of Discharge*

Education

High School (Name, Location, & State)*

Number of years attended*

Did you graduate?*

Diploma/GED, special training or skills*

College (Name, Location, & State)

Number of years attended

Did you graduate?

Degree, special training, or skills

Trade, Business, or Correspondence School (Name, Location, & State)

Number of years attended

Did you graduate?

Degree, special training, or skills

Who referred you to our company?*

Name of friend or referral*

Former Employers

Name of present or last employer*

Address*

Street AddressAddress Line 2CityStateZIP Code

Phone Number*

Job Title*

Supervisor's Name*

May we contact your supervisor?*

Yes

No

Starting Date*

Leaving Date*

Starting Salary*

Final Salary*

Work Description*

Reason for leaving*

Name of present or last employer*

Address*

Street AddressAddress Line 2CityStateZIP Code

Phone number*

Job Title*

Supervisor's Name*

May we contact your supervisor?*

Yes

No

Starting Date*

Leaving Date*

Starting Salary*

Final Salary*

Work Description*

Reason for leaving*

Name of present or last employer

Address

Street AddressAddress Line 2CityStateZIP Code

Phone number

Job Title

Supervisor's Name

May we contact your supervisor?

Yes

No

Starting Date

Leaving Date

Starting Salary

Final Salary

Work Description

Reason for leaving

Professional References

Name*

Company*

Relationship to you*

Phone Number*

Name*

Company*

Relationship to you*

Phone Number*

Upload Resume

Certificate Of Applicant (read carefully before signing)

All information provided by me is true and correct to the best of my knowledge. I understand omissions of
misrepresentations may result in rejection of my application or if employed, may result if subsequent
dismissal. I hereby authorize all former employers, educational institutions, personal references and others
identified hereon, including their employees or representatives, to furnish or provide full and complete
reports, documents or information to Preeminent Protective Services, Inc or its representative concerning
my prior educational and work histories, criminal and driving records, or other information I have provided
hereon. I waive, release, indemnify, and hold harmless Preeminent Protective Services, Inc, its employees
and representatives and all other persons and entities from all liability and all claims of any nature
whatsoever pertaining to the disclosure or use of information of written material as described above. I
understand this is a preliminary application and not a contract to employ me. Furthermore, in the event I
am employed, my employment shall be completely voluntary and may be terminated at will at any time by
either myself or the company. I understand that any employment agreement to the contrary must be in
writing and approved by the Company’s CEO or President. If employed, I agree to comply with all rules of
the company as a condition of continued employment.

Date*

SIGNATURE (Typed or Handwritten is acceptable) Submission of this document is binding.*

Name

This field is for validation purposes and should be left unchanged.

Job Features

Job Category

Guard II -Unarmed

Apply Online

Attach Resume*

Thank you for your interest in Preeminent Protective Services. We are the areas leading Full Service Security Management company with a focus on the following areas: Security, Information Technology, and Construction Services.